Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tennessee River Physicians, PLLC (NPI 1396282463)

Field	Value
Entity Type	Organization
Organization	Tennessee River Physicians, PLLC
Address	975 E 3rd St
City	Chattanooga
State	TN
ZIP	37403
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 26, 2017

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	36,040	$60	$2.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	25,240	$60	$1.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	4,950	$30	$158.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	8,810	$10	$123.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	160	$30	$5.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	80	$30	$2.4K
99053	The provider renders overnight services at a 24 hour facility.	1,310	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

Tennessee River Physicians, PLLC — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	53	630	510	$120	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	148	610	570	$110	$884.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	18	570	640	$100	$637.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	6	140	470	$40	$54.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	182	440	90	$10	$17.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	197	400	80	$40	$14.6K
99053	The provider renders overnight services at a 24 hour facility.	10	40	100	$1	$7.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tennessee River Physicians, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee River Physicians, PLLC	TN	Emergency Medicine Physician	$0	$2.9M
Vlatka Agnetta	TN	MOHS-Micrographic Surgery Physician	$382.1K	$0
James Wagner	TN	Emergency Medicine Physician	$124.8K	$0
Steven Haywood	TN	Emergency Medical Services (Emergency Medicine) Physician	$85K	$0

Nearby Providers

Other providers in the same ZIP code as Tennessee River Physicians, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chattanooga Hamilton County Hospital Authority	TN	General Acute Care Hospital	$0	$52.4M
Chattanooga Hamilton County Hospital Authority	TN	Internal Medicine Physician	$0	$27.9M
Regional Obstetrical Consultants PC	TN	Maternal & Fetal Medicine Physician	$0	$14.2M
Southeastern Emergency Services Of Memphis, P.C.	TN	Emergency Medicine Physician	$0	$3.8M
Tennessee Interventional And Imaging Associates, PLLC	TN	Diagnostic Radiology Physician	$0	$3.4M
Erlanger Health	TN	General Acute Care Hospital	$0	$3.3M
Hearth Hospice Of Tennessee, LLC	TN	Community Based Hospice Care Agency	$0	$2.8M
Erlanger Health	TN	Internal Medicine Physician	$0	$2.3M
Robert Graham	TN	Hematology & Oncology Physician	$1.2M	$19.8K
Harsha Vardhana	TN	Medical Oncology Physician	$941.1K	$66.6K

Tennessee River Physicians, PLLC — Billing Profile & Reimbursement Data

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Tennessee River Physicians, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References